IPACHTE#_
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Harnett Lounty
Department of Public Health
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Imp
rovement Permit 2 6 5 9 9
D ~Z' 0(r-N- 0 to A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Q vE2r»Li S ~
ISSUED T0: N > i_i_- SUBDIVISION ~so~t CGtdg_, LOT # tGC7
NEWZ, REPAIR ❑ 50' NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 15 7- pQ"'-~ ' S'U
Proposed Wastewater System Type: N-4 E \ 0 r4 r-, t,...
Projected Daily Flow: t-1$ O GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well ~0d feet Permit valid for: Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: ~ ^'N Date: `"1 ia. 11 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu f ther permits. The permit holders responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improve cent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout. C) 1~_ llofl'S b t~1
ISSUED T0: = o ty C- PROPERTY LOCATION: ®vEs~~1~~LS
5o' SUBDIVISION S-FOI C-: CaASs LOT # TO
Facility Type: SVZ C( X~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes No
Type of Wastewater System' (,-0-4.r V--' T<5'> Q N ?~I (Initial) Wastewater Flow: GPD
(See note below, if applicable
PUc1Q 7o Co NV~-1'37 '0SJv \L (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 1CO 0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Exact length of each trench 'a. ® feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 1$ 7. 11
1 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: 6 -1',), inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
n Aggregate Depth:
Conditions: Q~c ~~5 E3t~,s Qts Q. Cts oP4Sp,t ~ y a.c>' \\'PQL)4, P~'Nri5 LS-5
inches below pipe
inches above pipe
~a inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
*If applicable: I understand the system type spec/fled is different from the type specified on the application. / accept the specification of this permit.
Owner/Legal Representative Ign Date:
This Construction Authorization is subject to revocation if the Ian, pla the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is su%6pliance with t visa Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1 12. t 3
Construction thorization Expiration Date: Y~ 16
9571
HTE# ~ ~ 15 9<, Permit # fib" ~
ISSUED TO:
Authorized State Agent:
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Oy11-~ 5
_ SUBDIVISION S it E C.a o a5 LOT # 1 b Q
Date: `711
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